HomeMy WebLinkAbout30139991 - Permit (2)City of Santa Ana 20 Cavic Center Plaza (M-19), Santa Ana, CAg27o2 Plumbing
Permit Counter: (714) 647-5800 lnspection Requests: (714) 667-2738 lnspector Section: (714) 647-5853
Permit #: 30{ 3999{
Pin #: 716.24
Proiect Address: 908 E Santa Ana Blvd Unit:
Block: NA
Bldg: Address Range: .GS0-660/7OO- Suite Range:
Tract: SANTA ANA EAsr Historic: No738
N santia
zoning: so71
q
Assessor'sParcel: 398-352-03 Lot: NA
Owner:
Address
Ena Thomas
908 E. Santa Ana Blvd.
Santa Ana, CA 92701
19491 422-2484
01 1 16002 51602
01 1 16002 51600
011 16002 51602
Fee Type Amount
\/\/tr Htr (Res/Comm ov€ 91.28
General Plan Update 22.08
lssuance 55.04
Qty
'l.00
1.00
1.00
Fso
$91.28
$22.08
$55.04Phone
Tenant Name:
Contractor
Address:
Affordable Water Heaters ar
28358 Constellation Road, S
valencia, CA 91355
(855) 34s-9087Phone
ll
ioux
'He(lState Lic #: 627368
Lic Type: C-36
Bus. Lic #: 19460/t
Workers' Compensation lnsurance:Carrier: lns Co of the West
Policy #: WSA503249702
Expires: 0lr0lr20l9
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Building Use:
Job Type:
Nature of Work
Mixed-Use
Miscellaneous
w/H Change out
Occupancy:
Constr Type
Code:
R.3, U, B
V B, SPK
cPc 2016
Notes: Water heater change out.
Planning Approval By
Plan Checked By:
Permit lssued By:
Subject to Field:
Building Permit #:
Guevara, Jerry Date
Date
Date
Misc. Receipt:
Misc. Receipt:
Misc. Receipt:
Total
Chavez, Dave 09/18/2018
Account#
Arl/'
Every permit issued shall become invalid unless the work o, the slte
authorized by such pennit is commenced within 180 days after its
issuance . ot it the wo* authoized on the site by such permit is suspended
ot abandoned fgt a peiod of 180 days aftet lhe time the uvork is
$168.40
$0.00
$168.40
lnspector MID#: 20'18-146189
0'11 16002 5'1600
01116002 51602
Fee Total:
Paid to Date:
Balance Due:
9.'45?95 - 9/ tg/?tttgr: CTYH Trons+: 39: Ref*:
EI
I
t 146.3:
Planning Conditions:
09/18/2018
$22.08
$146.32
PLUMBING-INSPECTOR RECORD
DATE COMMENTS owNuR $t[t,t uR o]:LcARA'lIoN
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bknd.n 6, o,tcrcd t6r ek (S(.7O14, BusiN$ and Ptoacssions Codc Th. Conrncrtr's Lt ne Llw do.s mr rp?ly ro !n osE of
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oa coiDhtio[ rlt Oqncr Blilds *i[ hrw tlE butrhn ohtuvh8 thd lE or shc did @r ttriH ot inpow llr ,,nFry fir tu puFe of
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ord Pmr*sbn Codc: Thc Co.rtuloas Li.cnrc Llw dcs nor applyro !nowns oflmFnywho builds or impmEs rhcmrsid who onrEcts aor such pmr(rs virh o Con &to(,liL{.$d pusuor !6 r Cofltuiols Lic..sc L:w).
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W(IRKFRS' CoITIPENSATI(IN
DICLAIAIIA!
I hcrcty trffirm undcr rcn0lr! ofp.rjuryonc ofrhc followin! dccldrllio6s:
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Vhu\ c trnJ $ ill nurnrorn lnrlcrr (ornllcnsalrtr rns,r]nc., N nYluind hy Sccriotr 3'7ot] of lhc bbor Codc. for rlr Flbflmcc oa
rhc *orl forwhichlhis pcrmir is is$d. My sorkcrl .omlcnsrn,n insumRc c.fti.r 3M Inlicynu.$cr ml
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I ftdify lhar in rhc pqtirtunc! ofrtu uotk lor whth rhh Frmir is irsucd. I shall nor smployany I'cmr in atry herr
m m lo h.mm subixl io ihc woB.* mnr.osliion hws of Califomh, oid asB fid if I slDold hccom slbjccr ro rhc
workss snp.ns,rio. pmviiions.rS.clion.r?00 ofrhc hbo. Codc.I shlll, aorhsith @nply qirh lhoc pmvhioni.
I,VAIINING: Faillrc to *curc worlcn'compcns ion covcngc N xnluwtul. and shtrll subj.cr on .nploFr to rininal Fmltts lnd
civil ,inc. !F lo nrc hhdrcd lhousand dolles (!100.000), in addnion lo lh..osl ofcoq,cnsstion. dom8cs 0s providcd aor lnc
Sc.rioi :10?6 ofrh. ljhor C{xjc, i c(n &d drofty\ aics
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IIEILAf,A]ION
I hcrcbyalllrru cr lcnrhr.r,'$jury rhlr I.0lie.\cd undq nDvhn,n ol'Chrptcr I (co,nnrncing wiih Scclbn 7000)ofDivision l
or rhc Bulitussrtul Pmfc$ionsCodc, ut nry liccnsc h in tu ll nrc !ft1 eritcl.
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AITIICATLDEq.AAAIJON
I ho*,y afrm utuhr pcnalt, of Frrrry oa of rh. follo*ins dalmr ionr:
D.ml ion Pcrnits'Asbcsros Norificlrior tuchl Rc8ul,rions(Tirlc40, Pan6)
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l.cnilirh r rhc fcd$Jl rcgulai.nsr8ad A \hc(o\ rcN)vrlrrc ml rnnli.rhlc l,' rh( pmj.cr
-l.cnify
llrar I havc Eod lhix lpplicllion and slltc lh tnc lhvc i.forftrion isotrRr., leG lo omply wirh allCily.nd Counly
o.itiDftcs md Srarc lj*s Ehrins ro buiHing conshcrio.. {d hcr.by aurthriz rct,r*nl.ritcs of rht Cir, od Counry ro cflrs uFn rlE
abovc .Enrioftn top.ny for iNp.rlion
Applicanl or Ascnl SisnlluE
14IA
1'r (L9
UNDER GHOUND
Waste & Vent
Water-Under floor
Gas-Underfloor
Building Sewer
Area/Storm Drain
lnterceptor/ Clarif ier
TOP OUT
Water Piping
Gas Piping
Rool Drain
Tub/Shower Test
Rough Water Heater
POOL/SPA
P-trap/Drain Line
lVlain Drain/Pool Pi pinq
Fill Line/Back Flow
Pool Heater/Gas Line
Gas Service
Water Service
Lawn Sprinkler
Sanitary Sewer/Cap
Back Flow Device
Rough Plumbing
Final Gas Test
Meter Release It
FINAL /0/b4 ff fr4 Xr-l)
BemarksNotes , Erc I
+
APPROVALS IDiSIG.
Waste & Vent
Miscellaneous
t ndn i Add6r
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